Feasibility of Teaching Emergency Department Nurses to Determine Fetal Heart Rates Using Bedside Ultrasound Versus the Hand-Held Doppler.
The current nursing standard for assessment of injured pregnant patients ≥12 weeks presenting to the emergency department (ED) includes obtaining an auditory fetal heart rate (FHR) measurement using a handheld Doppler (HHD). If the audible lower maternal heart rate is mistakenly determined as the FH...
| Publicado en: | Journal of Radiology Nursing Vol. 42; no. 4; pp. 431 - 440 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174103882&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174103882 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15460843 EE7 jtl: Journal of Radiology Nursing issn: 15460843 maglogo: N pubinfo: dt: Dec2023 vid: 42 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 174103882 174103882 174103882 10.1016/j.jradnu.2023.07.003 174103882 ppf: 431 ppct: 9 formats: tig: atl: Feasibility of Teaching Emergency Department Nurses to Determine Fetal Heart Rates Using Bedside Ultrasound Versus the Hand-Held Doppler. aug: au: Miles, Gayla Newcomb, Patricia Spear, Dave affil: Trauma Research, Texas Health Harris Methodist Ft. Worth Hospital, Ft. Worth, TX sug: subj: Wounds and Injuries Nursing Heart Rate, Fetal Evaluation Fetal Heart Ultrasonography Point-of-Care Testing Methods Point-of-Care Testing Education Emergency Nurses Education Outcomes of Education Evaluation Ultrasonography, Doppler Equipment and Supplies Competency Assessment Human Pregnancy Female Expectant Mothers Pilot Studies Simulations Clinical Supervision Nursing Assessment Auscultation Nursing Skills Nurse Attitudes Female ab: The current nursing standard for assessment of injured pregnant patients ≥12 weeks presenting to the emergency department (ED) includes obtaining an auditory fetal heart rate (FHR) measurement using a handheld Doppler (HHD). If the audible lower maternal heart rate is mistakenly determined as the FHR, the misidentified rate can cause false concern for fetal distress. A feasibility study was performed to investigate if nurses could accurately determine FHRs using point-of-care ultrasound (POCUS). Nurses completed a self-paced learning module along with 2-hour hands-on simulation to determine FHRs using POCUS. Competency achievement was determined by ED physician clinical supervision on pregnant patients ≥8 weeks presenting to the ED between May 9 to November 29, 2022. Eight of 11 nurses achieved competency. The participants had mixed reviews on using POCUS but favored POCUS over the HHD for reliability of locating and determining the FHR. • Intermittent auscultation of fetal heart tones by emergency department nurses on pregnant patients 12 weeks or greater can be time consuming. • Differentiating between the maternal and fetal heart rate can be difficult at times using a handheld Doppler. • Teaching nurses to use point-of-care-ultrasound to locate the gestational sac and determine the fetal heart rate can increase the accuracy of identifying the fetal heart rate correctly. • Nurses favored point-of-care-ultrasound over the handheld Doppler as being more accurate to locate and determine the fetal heart rate. • Nurses viewed having a background using ultrasound to place peripheral IVs as beneficial to learning the skill. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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